Rehabs That Take Integra

Does Integra Cover Drug and Alcohol Rehab?

Not through the plan itself. Integra and the Anthem MLTC plan that replaced it are partial-capitation managed long-term care plans, and substance use services and inpatient hospital care are excluded from that benefit. Detox, residential treatment, partial hospitalization, intensive outpatient care and outpatient counseling are billed instead to New York Medicaid fee-for-service, or to Medicare for a dual-eligible enrollee.

That is a routing rule rather than a refusal. An enrollee in an MLTC plan still holds full Medicaid eligibility, and the Medicaid benefit card is what an admissions team bills for addiction treatment. Integra ran a dedicated care management team for each enrollee – a registered nurse, a social worker and a coordinator – and in the successor plan the care team social worker remains the main contact for behavioral health, coordinating services the plan does not itself buy.

Which Levels of Care Are Covered, and Who Pays?

Every rung of the addiction treatment ladder is a New York Medicaid benefit, and the level is matched to clinical need at assessment. What changes under an Integra or Anthem MLTC enrollment is only the payer on the claim, which is why the admissions team needs the Medicaid number as well as the plan card.

Medical Detox

Withdrawal management in a hospital or a licensed inpatient setting is billed outside the MLTC plan, because inpatient hospital services are not part of partial capitation. Alcohol and benzodiazepine withdrawal can produce seizures, and acute withdrawal belongs in an emergency department regardless of which card settles the bill. A medical detox admission is arranged clinically first and reconciled with the payer afterwards.

Residential and Inpatient

Rehabilitation and stabilization in a residential rehab setting is a Medicaid service, not an MLTC service. An enrollee who needs residential care while also receiving home care should tell the care manager, because the home care authorization and the schedule of visits have to be paused and restarted around the stay.

PHP, IOP and Outpatient

Day treatment, partial hospitalization, intensive outpatient and weekly counseling are billed to Medicaid fee-for-service, as are continuing day treatment, assertive community treatment and personalized recovery oriented services on the mental health side. For an enrollee receiving personal care at home, outpatient care is usually the level that fits around an existing schedule.

Does Integra Need Prior Authorization for Rehab?

No, because the plan does not authorize care it does not pay for. Inside the MLTC benefit the rule is the opposite: all covered services need prior authorization, except routine dental through Liberty Dental, routine vision exams through Superior Vision and emergency care. Standard decisions arrive within three business days of the plan holding all needed information and no later than 14 days, and expedited decisions within 72 hours.

Authorization for treatment therefore comes from whichever payer is billed. Where Medicaid fee-for-service pays, the program’s utilization staff work to Medicaid rules; where Medicare pays first for a dual-eligible enrollee, Medicare’s inpatient and outpatient rules apply and the MLTC plan covers the cost sharing behind them. No substance use prior-authorization criteria specific to Integra exist, so ask the admissions team which payer they are submitting to and what that payer requires before the admission date.

Who Arranges Treatment If the Plan Does Not Authorize It?

The care manager does. In the successor plan the care manager, Member Services and the 24/7 NurseLine all answer on 855-661-0002 (TTY 711), with the care manager available Monday to Friday, 8 a.m. to 5 p.m. Eastern. The legacy Integra number, 1-855-800-4683, now reaches Anthem MLTC enrollment. For questions about enrollment itself, New York Medicaid Choice is the state’s broker on 1-888-401-6582.

How Much Does Rehab Cost With Integra?

For authorized services from network providers, the successor MLTC handbook states there is no cost to the enrollee, and the plan pays Medicare deductibles, copays and coinsurance on Medicare-covered services. Charges can arise for care that was not authorized or came from outside the network. For rehab the figure follows Medicaid, not the plan.

One number worth checking first is the Medicaid spend-down. Where an enrollee owes a spend-down amount and does not pay it within 30 days, disenrollment from the MLTC plan can follow, which disrupts home care at the moment it is most needed. The market rates below are what a program bills without any coverage at all, and they explain why settling the payer question early matters more than comparing sticker prices.

Ask the admissions office to run the Medicaid number before the first day, and ask the care manager what happens to home care hours during an inpatient stay. Those two answers settle the cost picture for an MLTC enrollee.

Does Integra Cover Suboxone, Methadone and Other Addiction Medication?

No, and neither does the Anthem plan that replaced it. Prescription and non-prescription drugs fall outside partial-capitation managed long-term care and are covered by regular Medicaid or by Medicare Part D. That includes buprenorphine and Suboxone and naltrexone. Methadone treatment is named in the state model handbook as a service the plan does not cover.

Where the Prescription Is Filled

A pharmacy fill for buprenorphine or naltrexone runs on the Medicaid benefit card, or on the Part D plan for an enrollee with Medicare. Medication given during an inpatient or residential stay is part of that stay’s billing rather than a separate pharmacy claim. Check the drug list before discharge, because a change of formulation at the counter is an awkward moment to find a gap.

Methadone and Opioid Treatment Programs

Methadone for opioid use disorder is dispensed through a licensed opioid treatment program rather than a retail pharmacy, and the Medicaid benefit card pays for it. An enrollee who receives personal care at home and attends a clinic daily should tell the care manager, since transportation sits inside the MLTC benefit and is arranged through ModivCare.

Which Rehab Centers in New York Are In-Network With Integra?

Network status with the MLTC plan applies to long-term care providers, not to addiction treatment, which is billed outside the plan. What counts for rehab is whether the program is enrolled with New York Medicaid and holds the state license for the level of care. Anthem’s MLTC provider directory and the Medicaid card settle the two halves of that question.

New York has 1,100+ listed treatment programs, 1,061 of which accept Medicaid, concentrated in New York, NY, Bronx, NY, Brooklyn, NY and Buffalo, NY. Programs that accept Integra are gathered on the Integra page, alongside Medicaid detox and Medicaid residential rehab, with the wider list of rehabs in New York for anyone searching by borough or county. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport. Counts updated October 2026.

How Do I Find a Rehab That Takes Integra?

Start with the Medicaid benefit card rather than the plan card, and call the care manager on 855-661-0002 (TTY 711) to say that treatment is being arranged. Then call admissions at a program licensed for the level of care needed and ask whether it is enrolled with New York Medicaid and how it bills for an enrollee in managed long-term care.

Three questions cover the rest: who pays first if Medicare is also in the picture, what happens to home care hours during an inpatient stay, and how the program handles the handover back to the care team at discharge. An MLTC enrollee has a care manager, a social worker and a nurse already assigned, and bringing them into the admission early prevents home care being cancelled while the stay is under way.

Is Integra the Same as Anthem, Empire BlueCross BlueShield HealthPlus or Wellpoint?

In effect, yes for the first two. Anthem announced the purchase of Integra Managed Care on November 10, 2021 and completed it in early May 2022, taking on roughly 40,000 Medicaid enrollees from a Personal Touch Holding Corporation subsidiary. New York’s health department records that Integra MLTC merged with other MLTC organizations in 2022, and NYC Health + Hospitals lists Integra under Anthem BCBS Health Plus MLTC, formerly Empire BlueCross BlueShield HealthPlus. Elevance Health, renamed from Anthem, Inc. in June 2022, is the ultimate parent.

Wellpoint of New York is a separate Elevance managed long-term care plan covering Erie and Niagara counties on 877-388-5193, so it is a sibling rather than the same plan. Two other organizations share the name and pay for nothing here: Integra Partners manages durable medical equipment networks for health plans, and Integra Community Care Network is a Rhode Island accountable care organization.

References and Citations

• New York State Department of Health — Managed Long Term Care plan directory, 2022 MLTC Report, model partial-capitation member handbook and medical loss ratio reporting.
• Anthem Blue Cross and Blue Shield HP (Anthem HP, LLC) — Managed Long-Term Care member handbook, provider directory and New York enrollment pages.
• Elevance Health, formerly Anthem, Inc. — announcement and completion of the Integra Managed Care acquisition, November 2021 and May 2022.
• NYC Health + Hospitals — accepted health plan listings for post-acute, long-term care and home care services.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.